{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T14:26:51Z","timestamp":1766759211630,"version":"3.37.3"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T00:00:00Z","timestamp":1572825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Posttonsillectomy pain results in significant morbidity to the patients. There is a disagreement in the literature regarding the use of local anesthetics during tonsillectomy. The aim of this placebo-controlled, double-blind study is to evaluate the effect of peritonsillar administration of local anesthetics.<\/jats:p><jats:p>\n          Objective\u2003To evaluate the role of intraoperative use of analgesics in tonsillar fossa and postoperative evaluation with visual analogue scale (VAS) scores in achieving pain relief after tonsillectomy procedure<\/jats:p><jats:p>\n          Methods\u2003In this study, 180 patients were randomized to 1 of the 6 groups: bupivacaine infiltration, lidocaine infiltration, normal saline infiltration, bupivacaine packing, lidocaine packing, and normal saline packing. Pain caused by speaking, swallowing, and on rest was assessed using VAS at 4, 8, 12, 16 hours, and at discharge.<\/jats:p><jats:p>\n          Results\u2003Significant analgesia was obtained in patients who received bupivacaine infiltration and packing compared with placebo (p\u2009&lt;\u20090.05). The majority of the study subjects had no postoperative complications, and patients receiving bupivacaine infiltration required less additional analgesics in the first 24 hours after surgery.<\/jats:p><jats:p>\n          Conclusion\u2003We advocate the use of bupivacaine infiltration or packing immediately following the procedure to achieve adequate postoperative analgesia.<\/jats:p>","DOI":"10.1055\/s-0039-1684037","type":"journal-article","created":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T18:49:07Z","timestamp":1572893347000},"page":"e62-e67","source":"Crossref","is-referenced-by-count":12,"title":["Intraoperative Use of Analgesics in Tonsillar Fossa and Postoperative Evaluation with Visual analogue Scale Scores\u2014A Prospective, Randomized, Placebo-Controlled, Double-Blind Clinical Trial"],"prefix":"10.1055","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6520-0853","authenticated-orcid":false,"given":"Montasir","family":"Junaid","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Sohail","family":"Halim","sequence":"additional","affiliation":[{"name":"Byers Eye Institute, Stanford University, Palo Alto, CA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maisam Abbas Shiraz","family":"Onali","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Jinnah Medical College and Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadaf","family":"Qadeer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Sir Syed College of Medical Sciences for girls, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hareem Usman","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shifa Intersternal Hospital, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naeem Sultan","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, The Aga Khan Hospital, Dar-es-salaam, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,11,4]]},"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1684037.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T03:39:59Z","timestamp":1579059599000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1684037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,4]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2019,11,4]]},"published-print":{"date-parts":[[2020,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1684037","relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"type":"print","value":"1809-9777"},{"type":"electronic","value":"1809-4864"}],"subject":[],"published":{"date-parts":[[2019,11,4]]}}}